What Is the Treatment for Complete Hydatidiform Mole?
Clinical Scenario
Complete molar pregnancy requires uterine removal. This protocol covers the recommended first-line approach to evacuation, regardless of uterine size, including specific guidance on technique, preparation, and what to avoid.
Treatment Approach
A specific form of uterine evacuation is the method of choice for removal of complete molar pregnancy, irrespective of uterine size. The protocol includes detailed guidance on the use of imaging support during the procedure, cervical preparation, and particular interventions that should be avoided.
The full structured protocol contains the complete technique recommendations and sequencing — access it below.
Treatment Goal
The primary clinical goal is reversion of human chorionic gonadotrophin (hCG) to normal within 56 days of the pregnancy event.
References
DOI: 10.1111/1471-0528.16266
- Suction curettage is the method of choice for removal of complete molar pregnancies.
- Ultrasound guidance during removal and curettage may be of use to minimise the chance of perforation and to ensure that as much tissue as possible is removed.
- Medical removal of a complete molar pregnancy should be avoided if possible, irrespective of the agents used.
- For complete molar pregnancy, if hCG has reverted to normal within 56 days of the pregnancy event then follow-up will be for 6 months from the date of uterine removal.
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